J Korean Med Sci.  1996 Apr;11(2):179-182. 10.3346/jkms.1996.11.2.179.

Colorectal injury by compressed air: a report of 2 cases

Affiliations
  • 1Department of Surgery, Namkwang General Hospital, College of Medicine, Seonam University, Kwangju, Korea.

Abstract

We report two colorectal trauma patients whose rectosigmoid region was ruptured due to a jet of compressed air directed to their anus while they were playing practical jokes with their colleagues in their place of work. It was difficult to diagnose in one patient due to vague symptoms and signs and due to being stunned by a stroke of the compressed air. Both patients suffered from abdominal pain and distension, tension pneumoperitoneum and mild respiratory alkalosis. One patient was treated with primary two layer closure, and the other with primary two layer closure and sigmoid loop colostomy. Anorectal manometry and transanal ultrasonography checked 4 weeks after surgery, revealed normal anorectal function and anatomy. The postoperative courses were favorable without any wound infection or intraabdominal sepsis.

Keyword

Colorectal Trauma; Compressed Air; Pneumoperitoneum

MeSH Terms

Accidents, Occupational
Case Report
Colon/*injuries/surgery
Female
Human
Male
Middle Age
Play and Playthings
Pneumoperitoneum/*complications/surgery
Rectum/*injuries/surgery
Rupture
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